| First Choice Medical Center | |
|
1157 3rd Ave Ste 145 Longview WA 98632-6004 | |
| (360) 575-8897 | |
| Not Available |
| Full Name | First Choice Medical Center |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 1157 3rd Ave Ste 145, Longview, Washington |
| Authorized Official Name and Position | Daren Bowlby (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 3605758897 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| First Choice Medical Center 1157 3rd Ave Ste 145 Longview WA 98632-6004 Ph: () - | First Choice Medical Center 1157 3rd Ave Ste 145 Longview WA 98632-6004 Ph: (360) 575-8897 |
| NPI Number | 1942966544 |
|---|---|
| Provider Enumeration Date | 11/09/2021 |
| Last Update Date | 02/17/2022 |
| Medicare PECOS PAC ID | 3072904226 |
|---|---|
| Medicare Enrollment ID | O20211222001113 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942966544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Primary |
| Provider Name | Daren D Bowlby |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1184795304 PECOS PAC ID: 8729028022 Enrollment ID: I20050808000196 |
| Provider Name | Holly Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033712526 PECOS PAC ID: 0840606752 Enrollment ID: I20211223000914 |
| Provider Name | Valaree Ruth Lehrman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598493009 PECOS PAC ID: 0547639791 Enrollment ID: I20221209000437 |
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